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International Interventional Structural Heart Disease Fellowship Program

International Medicine Institute
The International Interventional Structural Heart Disease Fellowship Program at the University of Miami/Jackson Memorial Hospital (UM/JMH) is directed by Eduardo de Marchena, MD with the support of Drs. Carlos Alfonso, Pedro Cox, Michael Dyal, Alan Schob, Cesar Mendoza, and Alexander Ferreira.

The fellowship is comprised of a one-year program, which functions as an integral component of the subspecialty programs in cardiology, interventional cardiology and the categorical residency program in internal medicine. The program is designed to provide training in structural heart disease procedures for fellows with prior cardiac catheterization and interventional cardiology experience. Candidates for the International Interventional International Interventional Structural Heart Disease Fellowship Program should be highly qualified physicians with a minimum of 12 months’ experience in cardiac catheterization and coronary angiography. Training focuses on the comprehensive acute, chronic and preventive care of adults, with adults with heart disease being defined as anyone over the age of sixteen. The goal of training in structural heart disease Interventions is to provide physicians with a broad perspective in the care of the adult patient with complex structural heart disease. 

During the year of interventional structural heart disease training, fellows are expected to master the risks, techniques and indications of structural heart disease practice. They will be expected to develop the judgment and experience necessary to select patients and function as independent operators during interventional procedures in patients with a wide variety of structural heart disease including adults with congenital heart disease. Trainees will do nearly 3 months training at other sites in South America and Europe. Trainees will help in the planning of an international structural heart disease meeting. Fellows are expected to participate and publish from research trial and data bases.

It is our anticipation that the number of structural heart disease interventions performed by each fellow will be sufficient to achieve expertise and procedural independence while in the program. Fellows’ will be primary operators in the majority of these cases.

A major component of the fellowship will involve the performance of procedures in the adult cardiac catheterization laboratories. The UM/JMH comprise two centers with state-of-the-art high-resolution digital fluoroscopy units, which are networked throughout the hospital. A wide variety of diagnostic and interventional procedures are performed in these laboratories. 

The fellow will be expected to master the risks, techniques and indications of the following procedures:

  • Transseptal left heart catheterization
  • ASD/PFO closure
  • Alcohol septal ablation
  • LAA exclusion
  • Interventions in congenital heart diseases
  • Percutaneous aortic balloon valvuloplasty
  • Percutaneous aortic valve replacement
  • Percutaneous mitral balloon Valvuloplasty
  • Percutaneous mitral valve repair
  • Percutaneous paravalvular leak closure
  • Miscellaneous (pericardial drainage, LV punctures, snares)
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